| NPI | 1811050289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: NY 2834171) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NY F3002971) |
| Enumeration Date | 2006-12-18 |
| Last Update Date | 2007-07-08 |